Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.33 / $3,010.50 / $9,534.00	Facility		$787.33	$3,010.50	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.97 / $664.81 / $1,306.96	Professional		$469.97	$664.81	$1,306.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $494.55 / $494.55 / $701.40	Professional		$494.55	$494.55	$701.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $5,770.00 / $30,285.00	Facility		$2,670.00	$5,770.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.98 / $413.21 / $750.57	Professional		$280.98	$413.21	$750.57
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $577.37 / $577.37 / $577.37	Professional		$577.37	$577.37	$577.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $449.87 / $577.37 / $766.82	Facility		$449.87	$577.37	$766.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $832.01 / $1,058.92 / $127,498.73	Professional		$832.01	$1,058.92	$127,498.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.19 / $836.75 / $1,323.64	Professional		$555.19	$836.75	$1,323.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $865.11 / $865.11 / $865.11	Facility		$865.11	$865.11	$865.11
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $86.51 / $86.51 / $86.51	Facility	AS	$86.51	$86.51	$86.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $562.92 / $848.21 / $1,323.64	Professional		$562.92	$848.21	$1,323.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $562.71 / $972.41	Professional		$107.36	$562.71	$972.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $614.14 / $969.50 / $1,606.48	Professional		$614.14	$969.50	$1,606.48